The nurse is planning to integrate the Romberg test in a client's assessment. During which system assessment should the nurse consider integrating the test?
A. Neurologic system.
B. Mental status.
C. Musculoskeletal.
D. Head, neck, and lymphatics.
Answer: C
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The nurse has recently assumed the position of chief nurse in a long-term care facility with a record of poor patient care. How should this nurse approach the issue of effective discipline regarding patient care activities?
1. Set variable standards of care depending upon the nurse's previous experience. 2. Fire any nurse who does not meet established standards of care. 3. Establish a formal discipline plan to be used when standards of care are not followed. 4. Eliminate standards of care until the chief nurse can assess the situation.
The developmental task of preschoolers is to achieve a sense of
A) autonomy versus shame and doubt. B) cognition versus attitude. C) initiative versus guilt. D) accomplishment versus inefficiency.
Which information does the nurse provide to a client about the purpose of a paracentesis?
1. Relieve pressure in the peritoneum. 2. Analyze thoracic fluid for cytology. 3. Perform biopsy for hepatic pathology. 4. Examine bone marrow cells for anemia.
When a patient's adverse reaction to a blood transfusion is differentiated, which of the following signs/symptoms indicates the presence of an anaphylactic response?
a. Wheezing and chest pain b. Headache and muscle pain c. Hypotension and tingling of the extremities d. Crackles in the lungs and increased central venous pressure